Permit CITY OF TIGARD SEWER CONNECTION PERMIT
II COMMUNITY DEVELOPMENT Permit#: SWR2014-00073
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/12/2014
Parcel: 25101 DB00103
Jurisdiction: Tigard
Site address: 7360 SW HUNZIKER RD 101
Project: MSP Accounting Subdivision: CONDO SUPPLEMENTAL PLAT NO.4: Lot: 22830-2
Project Description: .13 EDU increase
Contractor: Owner: HILLTOP BUSINESS CENTER LLC
HUNZIKER LLC
9430 NW KAISER RD
PORTLAND,OR 97231
PHONE: PHONE:
FAX:
• FEES
Description Date Amount
Specifics:, Sewer Connection Fee 08/12/2014 $637.00
Type of Use: COM
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: .13
•
Total $637.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344. 1
Issued By: Permittee Signature: <-mac „etzeiii-r ..../.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
IIIAccumulative Sewer Tally
{. Tenant Name: MSP Accounting SWR# 2014-00073
t- Site Address: 7360 SW l lunziker St,Suite 101 1'LM# 2014-00266
Parcel#: 2S101 DB00103
Fixture Value Previous l'revious Credits Capped Fixture Fixture New New
# %:due count capped#s value count added# added value total#s total values
Baptisery/Font 4 , (1 0 0 0 0
Bath: -Tub/Shower 4 0 0 0 0 0
-Jacuzzi/Whirlpool 4 0 0 0 0 0
Car Wash: -Each Stall 6 0 0 0 0 0
-Drive through 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 (I
Dishwasher: -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 0 0 0
-3 inch 5 0 0 0 0 0
-4 inch 6 0 0 0 0 0
-Car Wash 6 0 0 0 0 0
Garbage Disposal:
-Domestic(to 3/4 1 IP) 16 0 0 0 0 0
-Commercial(to 5 1-IP) 32 0 0 0 0 (1
-Industrial(over 5 I IP) 42 0 0 0 0 (I
Ice Machine/Refrigerator Drain I 0 0 0 0 (1
Living Unit 16 0 0 0 0 0
Oil Sep(Gas Station) 6 0 0 0 0 0
Rec.Vehicle Dump station 16 0 0 0 0 0
Shower: -Gang(per head) 1 0 0 0 0 0
-Stall ? 0 0 0 0 0
Sink:
-Lav/Bar-Non-Food Related ? 0 0 1 2 1 2
-Bradley F1 0 0 0 0 0
-Com/Serv/Util-Food Related 3 0 0 0 0 0
Swimming Pool Filter I 0 0 0 0 0
Washer-Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet-'Toilet 6 0 0 0 0 0
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 0 0 1 2 1 2
Current Fixture Value 2 divided by 16= 0.125 Current F'.DU 1 EDU= $4,900.00
Previous Fixture Value 0 divided by 16= 0.000 Previous I:DU
Change 2 divided by 16= 0.125 over (under) S 637.00
Enter EDU Change Here 0.130
Notes:
Authorized Name/Signature: Debbie Adamski Date: 8/11/2014
Building Division
Note: The property owner shall retain the ORIGINAL,sewer tally record. If credits exist,this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\Building\Sewer Pally\Sewer TallySheet_49($1._(17(1114.xlsx